Vraagsturing vraagt om reflexief ondernemen – praktijkbijdrage

Beukema, Leni; Kleijnen, Christa

doi:10.18352/jsi.107

Cited by 2 publications

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“…Therefore, we study the governance of a Dutch transition program for longterm care to provide new insights for policymakers and future policy programs. There is an increasing need to change the long-term care system [10,11]. The Netherlands has one of the most expensive long-term care systems in Europe [12].…”

Section: Introductionmentioning

confidence: 99%

The barriers to govern long-term care innovations:

2014

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Section: Introductionmentioning

confidence: 99%

The barriers to govern long-term care innovations:

2014

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“…Today"s challenges of an aging population (Beukema and Kleijnen, 2007;United Nations, 2010), the increasing costs of the system (Pavolini and Ranci, 2008;OECD, 2013) and the scarcity of professionals (Bettio and Verashchagina, 2010;van den Bosch, 2010) keep pressuring the socio-economic long-term care (LTC) system. Hence, the system has to change from a fragmented, supply-driven system into an integrated demand-driven system (Beukema and Valkenburg, 2007;van den Bosch, 2010).…”

Section: Conclusion and Discussionmentioning

confidence: 99%

“…But more than ever, the LTC system needs to change in order to cope with the problem of aging (van den Bosch, 2010). It is becoming a major problem for most developed countries (van den Heuvel, 1997;Beukema and Kleijnen, 2007;Bettio and Verashchagina, 2010;Blanken and Dewulf, 2010) as the number of care-depndent people increases simultaneoulsy (Pavolini and Ranci, 2008). According to the United Nations" (UN) department of economic and social affairs, 21% of the Dutch population is above the age of 65 and will increase up to 31% in 2050 (United Nations, 2010).…”

Section: Long-term Care Challengesmentioning

confidence: 99%

“…Therefore, we study the governance of a Dutch transition program for long-term care to provide new insights for policymakers and future policy programs. There is an increasing need to change the long-term care system (van den Heuvel, 1997;Beukema and Kleijnen, 2007). The Netherlands has one of the most expensive long-term care systems in Europe (Pavolini & Ranci, 2008).…”

Section: Introductionmentioning

confidence: 99%

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The barriers to empowering niche-innovations in long-term care

Cramer¹

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PrefaceWith this preface, I first introduce how this thesis came into being. Secondly, I acknowledge the people who supported and influenced me during the four years of my research on niche-innovations.A bit more than four years ago, a day before I defended my master thesis on corporate diversification strategies at Tilburg University, I received an e-mail from my supervisor asking me if I would be interested in doing a PhD at the University of Twente. Five days later, it was December 23 rd 2009, a day before Christmas, Iwas sitting in Geert Dewulf's office, talking about the PhD trajectory for two and a half hours. The research project was about developing strategies in a nicheinnovation project that primarily concerned the cooperation of two long-term care organizations. It was subsidized by a transition program that aimed at changing the long-term care system. I was very interested in the topic as I saw a good opportunity to continue my research on strategy development. Yet in a new domain: long-term care. As it felt like the right time, the right place and the right people, I started my research in January 2010. Initially, being a fresh graduate who was boosted with pure confidence, I was keen to support the strategy development in the project. Throughout the four years, however, I learned that there are all kinds of barriers hindering the development of strategies for niche-innovations which show that the long-term care system has not been ready for change.While the project was running smoothly throughout 2010, it abruptly ended shortly after the subsidy ended in 2011. Hence, I had to look for other cases to develop strategies out of niche-innovations. I wrote a proposal that outlined how the lessons learned in the original project could be used in a new project. One of the participating long-term care organizations of the original project accepted the proposal in 2012. I started conducting interviews as well as holding a workshop to form new strategies out of niche-innovations. But half a year later, the project was cancelled due to an organizational restructuring. I was asked to use the insights in the previous project to re-write the proposal in order to develop integrated longterm care strategies. In 2013, I conducted another 20 interviews. But also this project was cancelled after my key contact person was fired. In the meantime, I integrated my ideas about strategy development in a proposal that we (Geert Dewulf, Hans Voordijk and I) wrote with researchers from Germany and Norway for the Framework Programme 7 (FP7) of the European Union. Unfortunately, our proposal scored just below the threshold. As a consequence of all these drawbacks, vi I started to refocus my research to highlight the importance of understanding the barriers to change so that future programs can enable the change of the long-term care system. In so doing, I used the data of the original project, and data from a retrospective study on two other niche-innovation projects that also participated in the transition program.Writing a th...

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Vraagsturing vraagt om reflexief ondernemen – praktijkbijdrage

Cited by 2 publications

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The barriers to govern long-term care innovations:

The barriers to govern long-term care innovations:

The barriers to empowering niche-innovations in long-term care

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